canesdukegirl BSN, RN

Trauma Surgery, Nursing Management

Member

All Content by canesdukegirl

  1. canesdukegirl

    Iv site labeling, instant removal for no date

    I don't imagine this will go over well in the Peds
  2. canesdukegirl

    How many Hours per Week do you work

    Scheduled for 40, but it never fails that a red trauma comes through my pager at 1700 (it's trauma season), so I don't leave until things have been settled. I have been averaging 50 hours for the past...
  3. canesdukegirl

    Calling Nurse Managers for jobs

    This post is almost a year old. OP, did you find a suitable job that you
  4. canesdukegirl

    New Director

    Does your facility have a Risk Management department? When a supervisor's behavior is out of line, I try to address it first with them and then start writing detailed, factual incident reports. These...
  5. canesdukegirl

    Movement within the hospital after the OR

    A friend of mine was in your same dilemma a few years ago. She loved the OR and was accepted into a highly competitive OR nurse resident position. However, much like you, she felt that she needed to...
  6. canesdukegirl

    Perforated bowel

    I forgot to ask you if the pt had a resection with or without a
  7. canesdukegirl

    Perforated bowel

    It is common to have +BS with impaction. Unfortunately, unless you do a rectal exam, there is no way to know if your pt is impacted. Things are moving through, but come to a roadblock right at the end...
  8. canesdukegirl

    DONE as a 'nurse.' What else is there to do??

    It sounds like you do well with one task at a time: given an objective, you need to think it through thoroughly, develop a plan and think about how you will implement it. Does that sound accurate? If...
  9. canesdukegirl

    I hate ignorant people...

    It's ok that people don't understand what we do. The important thing is that YOU understand what you do, the impact that you are making on a daily basis, and the joy and fulfillment that YOU...
  10. canesdukegirl

    Bedside charting?! Is this the new norm? VENT!

    I envy you! I can't chart and talk at the same time. It used to drive me crazy when a rep would try to strike up conversation with me when I was trying to chart in the OR. I am simply not smart enough...
  11. canesdukegirl

    How to respond after shadowing experiences

    Do exactly as she requested-state your preference. She may very well need to fill both positions and is of the mind-set of 'first come, first served'. If you prefer the weekend option, it is likely...
  12. canesdukegirl

    New OR Nurse Here

    Congratulations to you! I hope that you will enjoy OR nursing as much as I do. I truly cannot imagine doing anything else. A few tips: 1. Have some breakfast. If you have a high protein breakfast to...
  13. canesdukegirl

    4th Nursing Caption Contest - Win $100

    C'mon! All I asked is why you didn't become a doctor instead of just a nurse! I thought it was a
  14. canesdukegirl

    Bedside charting?! Is this the new norm? VENT!

    I have mixed feelings about bedside charting. On the one hand, if you have touch screens, it CAN be faster to chart. One the other hand, it can also appear insensitive to chart on the computer with...
  15. canesdukegirl

    Incorrect counts at shift change

    I have added wrong before on my count sheet, and have been in exactly the same situation you describe. Now I write the needle count up on a whiteboard so that the scrub can see it too. I also record...
  16. canesdukegirl

    Double gloving?

    I don't know how many of you have experienced this, but I have noticed that non-latex gloves tend to rip much more readily than latex gloves. Recently there has been a progressive move to dispense...
  17. canesdukegirl

    charge pay

    It seems so wrong that charge nurses don't get paid more than a couple of dollars an hour more. The workload is frustrating and the charge nurse is held accountable for a montage of things that are...
  18. canesdukegirl

    "I don't need a scrub nurse for this case"...

    It concerns me a great deal that emergency surgery is being delayed FOR WHATEVER REASON. If this is, in fact, occurring at your hospital, this suggests a lapse or a break down in the quality of...
  19. canesdukegirl

    Dealing with Circulators as a New Student.

    Great advice, Sandra. The only way we can change the culture of a toxic environment is if we take that first brave (and sometimes scary) step by refusing to be bullied. It sounds so much easier than...
  20. canesdukegirl

    Pins or options to store staff jewelry

    You can get 'tailor grade' safety pins at any fabric store. Don't forget to thread the pin through some part of your undergarments (I just pin mine directly onto my bra strap, but I have seen others...
  21. Haven't you all heard this one before? The surgeon that just needs "15 minutes to do a quick I&D". So you open a minor pack, open a minor tray and wait for the pt to roll in. The surgeon comes...
  22. canesdukegirl

    I was tossed under the bus.

    Oh honey, so sorry you went through this embarrassing dilemma. We all forget things from time to time...don't beat yourself up too
  23. canesdukegirl

    Excema in the OR

    What kind of scrub did you use? CHG? Avagard?
  24. canesdukegirl

    Appropriate student observation in OR or not?

    While you offer a good point that the discipline of both the instructor and the student are the result of "CYA" mentality, hospital policies in this situation might not have been clear to the...
  25. canesdukegirl

    is there something wrong with this picture?

    Can you ask your NM for another FTE for housekeeping? It seems like y'all are spread pretty thin as it